Evidence map›Paper›PMID 34756077›Full record

Observational studyMicrobiology spectrum2021

Prospective Study of the Performance of Parent-Collected Nasal and Saliva Swab Samples, Compared with Nurse-Collected Swab Samples, for the Molecular Detection of Respiratory Microorganisms.

Claire A Woodall, Hannah V Thornton, Emma C Anderson, Suzanne M Ingle, Peter Muir, Barry Vipond, Denise Longhurst, John P Leeming, Charles R Beck, Alastair D Hay

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Microbiology spectrum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Human bocavirus-1 infections in Australian children aged < 2 years: a birth cohort study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Claire A WoodallCentre for Academic Primary Care, Population Health Sciences, Bristol Medical School, University of Bristolgrid.5337.2, Bristol, United Kingdom.ORCID 0000-0002-7230-4105
Hannah V ThorntonCentre for Academic Primary Care, Population Health Sciences, Bristol Medical School, University of Bristolgrid.5337.2, Bristol, United Kingdom.
Emma C AndersonCentre for Academic Child Health, Population Health Sciences, Bristol Medical School, University of Bristolgrid.5337.2, Bristol, United Kingdom.
Suzanne M IngleNational Institute for Health Research, Health Protection Research Unit in Behavioral Science and Evaluation of Interventions, University of Bristolgrid.5337.2, Bristol, United Kingdom.
Peter MuirPublic Health England, Southwest Regional Laboratory, National Infection Service, Southmead Hospitalgrid.416201.0, Bristol, United Kingdom.
Barry VipondPublic Health England, Southwest Regional Laboratory, National Infection Service, Southmead Hospitalgrid.416201.0, Bristol, United Kingdom.
Denise LonghurstPublic Health England, Southwest Regional Laboratory, National Infection Service, Southmead Hospitalgrid.416201.0, Bristol, United Kingdom.
John P LeemingBristol Centre for Antimicrobial Research and Evaluation, Pathology Sciences, North Bristol NHS Trust, Bristol, United Kingdom.
Charles R BeckNational Institute for Health Research, Health Protection Research Unit in Behavioral Science and Evaluation of Interventions, University of Bristolgrid.5337.2, Bristol, United Kingdom.
Alastair D HayCentre for Academic Primary Care, Population Health Sciences, Bristol Medical School, University of Bristolgrid.5337.2, Bristol, United Kingdom.
University of Bristol · GBSouthmead Hospital · GBNational Institute for Health Research · GBNorth Bristol NHS Trust · GBPublic Health England · GB

Funding

Daphne Jackson TrustNational Institute for Health Research Health Protection Research Unit (NIHR HPRU) HPRU-2012-10026National Institute for Health Research (NIHR) NIHR:200151National Institute for Health Research (NIHR) NIHR-RP-02-12-012UKRI | Medical Research Council (MRC)Wellcome TrustWellcome Trust Institutional Strategic Support Fund 204813/Z/16/Z
6 · The paper itself

Abstract

Respiratory tract infections (RTIs) are ubiquitous among children in the community. A prospective observational study was performed to evaluate the diagnostic performance and quality of at-home parent-collected (PC) nasal and saliva swab samples, compared to nurse-collected (NC) swab samples, from children with RTI symptoms. Children with RTI symptoms were swabbed at home on the same day by a parent and a nurse. We compared the performance of PC swab samples as the test with NC swab samples as the reference for the detection of respiratory pathogen gene targets by reverse transcriptase PCR, with quality assessment using a human gene. PC and NC paired nasal and saliva swab samples were collected from 91 and 92 children, respectively. Performance and interrater agreement (Cohen's κ) of PC versus NC nasal swab samples for viruses combined showed sensitivity of 91.6% (95% confidence interval [CI], 85.47 to 95.73%) and κ of 0.84 (95% CI, 0.79 to 0.88), respectively; the respective values for bacteria combined were 91.4% (95% CI, 86.85 to 94.87%) and κ of 0.85 (95% CI, 0.80 to 0.89). In saliva samples, viral and bacterial sensitivities were lower at 69.0% (95% CI, 57.47 to 79.76%) and 78.1% (95% CI, 71.60 to 83.76%), as were κ values at 0.64 (95% CI, 0.53 to 0.72) and 0.70 (95% CI, 0.65 to 0.76), respectively. Quality assessment for human biological material (18S rRNA) indicated perfect interrater agreement. At-home PC nasal swab samples performed comparably to NC swab samples, whereas PC saliva swab samples lacked sensitivity for the detection of respiratory microbes.

Indexed as

AdultBacteriaChild, PreschoolFemaleHealth PersonnelHumansInfantMaleMiddle AgedNoseParentsProspective StudiesRespiratory Tract InfectionsSalivaSpecimen HandlingVirusesclinical methodscommunity-baseddiagnosticsmicrobiologymolecular techniquesparent collectionpediatricpublic healthrespiratory tract infectionself-collection

Identifiers

PMID34756077
PMCPMC8579848
OpenAlexW3211783138

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.